英格兰和威尔士的种族和自杀:一项全国链接的队列研究
Duleeka Knipe1, Paul Moran2, Laura D Howe3
1Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK; South Asian Clinical Toxicology Research Collaboration, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.
The lancet. Psychiatry
|July 18, 2024
概括
在英格兰和威尔士,自杀率存在种族差异. 一些少数民族,包括混合遗产和白色吉普赛人或爱尔兰旅行者,表现出更高的自杀风险,特别是女性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 英格兰和威尔士的自杀率缺乏种族数据,因为死亡证明没有.
- 以前对自杀的种族差异的理解是有限的.
- 这项研究通过检查跨种族群体的自杀变异来解决这个差距.
研究的目的:
- 调查英格兰和威尔士的性别自杀率的种族差异.
- 分析基于移民和后裔身份的变化.
- 为了确定特定的少数民族群体与自杀风险升高.
主要方法:
- 利用了相关的死亡率数据 (2012-2019) 和2011年人口普查数据.
- 计算了18个自我认同的种族群体的年龄标准化自杀率.
- 使用波桑回归来估计发病率比率 (IRR),将少数群体与英国白人多数进行比较.
主要成果:
- 总的来说,记录了31,644起自杀死亡事件,11%来自少数民族.
- 大多数少数群体的自杀率低于英国白人多数群体.
- 在混合白人和加勒比地区遗产 (IRR 1.79) 和白人吉普赛人或爱尔兰旅行者 (IRR 2.26) 的女性中观察到较高的自杀率.
- 来自混合种族背景的后裔与白人英国人相比,自杀风险更高.
结论:
- 在英格兰和威尔士,自杀死亡率明显存在显著的种族差异.
- 这些差异背后的原因需要进一步调查.
- 需要注意以前被忽视的少数民族群体,他们的自杀率更高.
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